The patient is receiving cholestryamine (Questran). When assessing for side effects, what will be the primary focus of the nurse?
1. Auscultation of heart sounds
2. Auscultation of bowel sounds in all four abdominal quadrants
3. Assessment of 24-hour urine output
4. Palpation for peripheral edema in the lower extremities
Correct Answer: 2
Rationale: Assessment of bowel sounds is a priority because cholestryamine (Questran) could cause obstruction of the intestines. Cholestryamine (Questran) does not affect cardiac status. Cholestryamine (Questran) does not cause peripheral edema. Cholestryamine (Questran) does not cause rhabdomyolysis, so the nurse would not assess for 24-hour urine output.
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